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Thyroid Surgery by Mini-incision

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George S. Ferzli
George S. Ferzli
Gesundheit & Medizin
1 von 21
Thyroid surgery by mini-incision Rosemary Hardin MD, Joelle Pierre MD, and George Ferzli MD, FACS SUNY Downstate Medical Center Lutheran Medical Center
[object Object],[object Object],[object Object],[object Object],[object Object],G Ferzli, P Sayad, Z Abdo, R Cacchione Minimally invasive, non-endoscopic thyroid surgery. J Am Coll Surg May 2001: 192 (5) 665-668
[object Object],[object Object],Superior and inferior subplatysmal flaps are developed.
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Injury to the Superior Laryngeal Branch of the Vagus During Thyroidectomy: Lesson or Myth? Peter F. Crookes, MD, FACS and James A. Recabaren, MD, FACS From the Department of Surgery, University of Southern California Keck School of Medicine, Los Angeles, California
 
Delivery through the wound, of the upper pole of the thyroid with medial rotation, will allow a view of the laryngotracheal junction.
Rt. recurrent laryngeal nerve Tubercle of Zuckerkandl Rt. upper parathyroid gland At the laryngotracheal junction, identify the following structures:
 
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The inferior pole vessels are divided If total thyroidectomy, repeat steps on left side Free trachea from thyroid by dividing ligament of Berry Ligament of Berry
Thyroid gland is delivered easily through the wound
 
PATIENTS ,[object Object],[object Object],[object Object]
PREOP DIAGNOSIS ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Total 264 Of the 256 patients, 8 who initially underwent unilateral thyroid lobectomy subsequently required resection of the contralateral lobe (completion thyroidectomy using the same incision)
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COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST OPERATIVE PATHOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Thyroid Surgery by Mini-incision

  • 1. Thyroid surgery by mini-incision Rosemary Hardin MD, Joelle Pierre MD, and George Ferzli MD, FACS SUNY Downstate Medical Center Lutheran Medical Center
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  • 8. Delivery through the wound, of the upper pole of the thyroid with medial rotation, will allow a view of the laryngotracheal junction.
  • 9. Rt. recurrent laryngeal nerve Tubercle of Zuckerkandl Rt. upper parathyroid gland At the laryngotracheal junction, identify the following structures:
  • 10.  
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  • 12. The inferior pole vessels are divided If total thyroidectomy, repeat steps on left side Free trachea from thyroid by dividing ligament of Berry Ligament of Berry
  • 13. Thyroid gland is delivered easily through the wound
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